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Review

The Effect of Chair-Based Exercise on Physical Function in Older Adults: A Systematic Review and Meta-Analysis

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Institute of Nursing and Health Research, School of Health Sciences, Ulster University, Newtownabbey BT37 0QB, UK
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Sport and Exercise Sciences Research Institute, School of Sport, Newtownabbey BT37 0QB, UK
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Institute of Mental Health Sciences, School of Health Sciences, Ulster University, Newtownabbey BT37 0QB, UK
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The Cambridge Centre for Sport and Exercise Science, Anglia Ruskin University, Cambridge CB1 1PT, UK
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Institute of Public Health, City Exchange, 11–13 Gloucester St, Belfast BT1 4LS, UK
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The Bamford Centre for Mental Health & Wellbeing Ulster University, Coleraine BT52 1SA, UK
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Centre for Active and Healthy Ageing, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230 Odense, Denmark
*
Author to whom correspondence should be addressed.
Membership of the SITLESS Consortium is provided in the Acknowledgements.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2021, 18(4), 1902; https://doi.org/10.3390/ijerph18041902
Received: 11 January 2021 / Revised: 8 February 2021 / Accepted: 9 February 2021 / Published: 16 February 2021
(This article belongs to the Special Issue The Challenges and Opportunities for Promoting Active Healthy Ageing)
Physical activity is an important determinant of health in later life. The public health restrictions in response to COVID-19 have interrupted habitual physical activity behaviours in older adults. In response, numerous exercise programmes have been developed for older adults, many involving chair-based exercise. The aim of this systematic review was to synthesise the effects of chair-based exercise on the health of older adults. Ovid Medline, EMBASE, CINAHL, AMED, PyscInfo and SPORTDiscus databases were searched from inception to 1 April 2020. Chair-based exercise programmes in adults ≥50 years, lasting for at least 2 weeks and measuring the impact on physical function were included. Risk of bias of included studies were assessed using Cochrane risk of bias tool v2. Intervention content was described using TiDieR Criteria. Where sufficient studies (≥3 studies) reported data on an outcome, a random effects meta-analysis was performed. In total, 25 studies were included, with 19 studies in the meta-analyses. Seventeen studies had a low risk of bias and five had a high risk of bias. In this systematic review including 1388 participants, results demonstrated that chair-based exercise programmes improve upper extremity (handgrip strength: MD = 2.10; 95% CI = 0.76, 3.43 and 30 s arm curl test: MD = 2.82; 95% CI = 1.34, 4.31) and lower extremity function (30 s chair stand: MD 2.25; 95% CI = 0.64, 3.86). The findings suggest that chair-based exercises are effective and should be promoted as simple and easily implemented activities to maintain and develop strength for older adults. View Full-Text
Keywords: chair-based exercise; physical function; older adults; systematic review chair-based exercise; physical function; older adults; systematic review
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MDPI and ACS Style

Klempel, N.; Blackburn, N.E.; McMullan, I.L.; Wilson, J.J.; Smith, L.; Cunningham, C.; O’Sullivan, R.; Caserotti, P.; Tully, M.A. The Effect of Chair-Based Exercise on Physical Function in Older Adults: A Systematic Review and Meta-Analysis. Int. J. Environ. Res. Public Health 2021, 18, 1902. https://doi.org/10.3390/ijerph18041902

AMA Style

Klempel N, Blackburn NE, McMullan IL, Wilson JJ, Smith L, Cunningham C, O’Sullivan R, Caserotti P, Tully MA. The Effect of Chair-Based Exercise on Physical Function in Older Adults: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health. 2021; 18(4):1902. https://doi.org/10.3390/ijerph18041902

Chicago/Turabian Style

Klempel, Natalie, Nicole E. Blackburn, Ilona L. McMullan, Jason J. Wilson, Lee Smith, Conor Cunningham, Roger O’Sullivan, Paolo Caserotti, and Mark A. Tully. 2021. "The Effect of Chair-Based Exercise on Physical Function in Older Adults: A Systematic Review and Meta-Analysis" International Journal of Environmental Research and Public Health 18, no. 4: 1902. https://doi.org/10.3390/ijerph18041902

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